Occupational Therapy Commons^™

Exploring Lifestyle Habits Between Gamers And Non-Gamers: A Survey-Based Approach, Janavi Sathappan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Video gaming is a prevalent and meaningful occupation for a growing number of young adults, yet its relationship to health behaviors is inconsistent and unclear in literature. This cross-sectional survey-based study examined the differences in nutritional pattens, sleep hygiene, and physical activity between self-identified gamers and non-gamers in a sample of young adults aged 18-34. Recruitment occurred primarily through the University of Nevada, Las Vegas and associated networks. Participants were asked to complete the Mini Eating Assessment Tool, Sleep Hygiene Index, and the International Physical Activity- Short Form. Data was analyzed using Mann-Whitney U tests and Pearson’s chi-square tests, and …

Exploring A Boxing Community Exercise Porgram For Women With Parkinson's Disease, Emily Truong

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: The purpose of this capstone project was to explore the lived experiences of 10 women with Parkinson’s disease (PD) who participate in the Rock Steady Boxing (RSB) program, an exercise community-based non-contact boxing program. Because women remain underrepresented in PD research and exercise-based interventions, this project aims to better understand how women perceive the physical, emotional, and social impacts of participating in RSB.

Methods: This qualitative case series included 10 women diagnosed with PD that participate in RSB at the Tony Cress Training Center. Data was collected through individual semi-structured interviews and audio recordings. Interviews were consented, transcribed verbatim, …

Application Of Occupational Therapy Task-Oriented For Chronic Post-Stroke Rehabilitation: A Case Study, Gia Nghi Vu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Stroke remains the leading cause of long-term disability, with persistent upper extremity (UE) impairment limiting engagement in daily tasks, reducing quality of life and contributing to learned non-use in the chronic stage among stroke survivors. The Occupational Therapy Task Oriented (OTTO) approach is proposed to optimize occupational performance through the use of meaningful, functional and highly individualized tasks that enable clients to fulfill their valued roles and participate in desired daily activities. The purpose of this capstone project was to advance clinical skills by applying the OTTO approach to examine its effect on occupational performance and UE motor function in …

Development And Evaluation Of A Training Program On Pain Assessments For Pediatric Care Teams In Skilled Nursing Facilities, Rudy Velasquez-Correa

UNLV Theses, Dissertations, Professional Papers, and Capstones

This capstone project was a program development and quality improvement initiative at Silver State Pediatrics focused on improving consistency and confidence of pediatric care staff in assessing and documenting pain in children, particularly those who are non-speaking and medically complex. Although validated tools such as the Face, Legs, Activity, Cry, Consolability (FLACC), revised-FLACC (R-FLACC), and Non-communicating Children’s Pain Checklist-Revised (NCCPC-R) exists, inconsistent training and limited interdisciplinary communication have led to variability in clinical practice. This project involved implementing a brief, 20-30-minute interdisciplinary training session for nursing and rehabilitation staff on the use of validated pediatric pain assessment tools and collaborative …

The Exploration Of Leisure Occupations For Older Adults, Chloe Jisoo Kang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: This capstone project involved the development and implementation of a community-based program for the exploration of leisure occupations for older adults. The program aimed to increase the life satisfaction and occupational balance of participants. A manualized program was created for the capstone site for potential continuation of the program.

Methods: The program was developed with the support of evidence-based research and the Occupational Therapy Practice Framework (OTPF-4). Two-hour events were held once a week for four weeks in a community area of the senior living community. A modified version of the Occupational Balance Questionnaire (OBQ11) and the Satisfaction with …

Developing A Health Education Program For Adults Reentering The Community After Incarceration, Tiffany Ayame Kinugawa-Larsen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Justice-impacted adults often experience challenges in confidently managing their health due to limited autonomy, disrupted health routines, and limited access to health education during incarceration. Studies have shown that incarcerated adults have a higher likelihood of developing chronic health issues, yet have limited access to resources that promote health and well-being after release from incarceration. Given that health management falls within the scope of occupational therapy (OT), the profession is positioned to promote health and well-being by applying OT principles that emphasize individualized, holistic care tailored to a justice-impacted population during community reintegration. A 5-week health education program grounded in …

Supporting Staff Social-Emotional Learning Through An After-School Program, Alexis Monique Molina

UNLV Theses, Dissertations, Professional Papers, and Capstones

This doctoral capstone project aimed to develop and implement an occupational therapy- informed social-emotional learning (SEL) training program for after-school staff at the Hollywood Recreation Center in Las Vegas, Nevada. The project addressed a critical gap in the skills and competence of staff needed to manage emotional and behavioral challenges in community-based youth programs. Guided by the Person-Environment-Occupation (PEO) model, adult learning theory, and the Collaborative for Academic, Social, and Emotional Learning (CASEL) framework, the fourteen-week program incorporated weekly lessons to enhance self-awareness, emotional regulation, and relational competence among staff. Through interactive lessons, reflection promotion, and feedback surveys, participants engaged …

Addressing Sleep Health In The Fire Service: A Sleep Hygiene Education Program, Alyssa Elizabeth Neal

UNLV Theses, Dissertations, Professional Papers, and Capstones

This capstone project implemented an occupational therapy sleep hygiene program tailored to the unique occupational demands of Las Vegas Fire and Rescue (LVFR) firefighters. Guided by the Occupational Adaptation theory and the CALMS Framework, this project conceptualized sleep as a meaningful occupation essential to health, safety, and functional performance. The project’s aim was to assess the feasibility of a sleep hygiene program designed for the fire service using standardized measures, including the Sleep Hygiene Index. The methodology incorporated a structured educational session focused on educating firefighters on the importance of sleep, modifying routines and environments to support restorative sleep, implementing …

Sense Of Belonging And Professional Identity In Acute Care Occupational Therapists: A Phenomenological Study, Shania Marion D. Novilla

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapy practitioners (OTPs) play a crucial and demanding role in acute care, addressing complex diagnoses and facilitating safe discharge; however, the fast-paced biomedical environment often pressures them to compromise their occupation-based philosophy, potentially leading to professional burnout and low retention rates. Although professional identity (the self-perception of one's role) and a sense of belonging (feeling valued and connected) are recognized as correlated concepts vital for professional resilience, this relationship remains critically underexplored within the acute care OT population. Guided by the Occupational Adaptation Model (Schkade & Schultz, 1992), this qualitative study explores how experienced occupational therapists working in an …

Psychological Impact Of Nexus Program On Persons Living With Mild Dementia, Kaleigh Gailynn Quinlan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Dementia is a global health concern due to the rapidly growing aging population (WHO, 2023). A wealth of evidence exists to support the notion that lifestyle interventions not only slow cognitive decline but improve cognition (Ngandu et al., 2015; Rosenberg et al.., 2018; Meng et al., 2022). However, there is a distinct lack of qualitative evidence examining the experience of being in a lifestyle redesign program. Lifestyle interventions require a large overhaul of an individual’s habits and performance patterns, and as such, there must be a subjective experience attached. Methodology: Through convenience sampling of the residents participating in the …

Identifying Well-Being Factors For At-Risk Young Adult Women: A Scoping Review, Carolina A. Quinonez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose

This scoping review has systematically explored and mapped the range of literature that pertains to the influences of well-being for at-risk young adult women, to inform occupational therapy practice, guide future research, and enhance the knowledge of holistic well-being.

Methodology

Four online databases, including Google Scholar, were searched to identify publications, in the past 20 years, on relevant data for at-risk women and their well-being levels. Data was tracked using a PRISMA-ScR diagram with guidance from JBI protocol.

Results

There were 39 studies that met all the inclusion criteria. The studies were categorized into the types of well-being and …

Expanding Neurological Interventions: An Aquatic-Based Occupational Therapy Toolkit For Inpatient Rehabilitation, Kate Jannelle Rye

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: The objective of this project was to develop an evidence-informed aquatic therapy toolkit aimed at improving occupational therapy practitioners’ self-efficacy in planning aquatic interventions for individuals with neurological injuries.

Methods: This project utilized a quality improvement approach, involving the development of a toolkit, an in-service educational training, and a hands-on skills session. Practitioner self-efficacy was measured using a modified General Self-Efficacy Scale, which was administered before and after the educational training and hands-on skills session. Guided reflections and feedback from occupational therapy practitioners were also utilized to evaluate self-efficacy and the applicability of the toolkit.

Outcomes: Participation in the …

Movement-Based Program To Support Quality Of Life For Adults With Down Syndrome, Jillian Sanalila

UNLV Theses, Dissertations, Professional Papers, and Capstones

This doctoral project focused on the development, implementation, and evaluation of a community-based movement program designed to support quality of life (QoL) among adults with Down syndrome and other intellectual and developmental disabilities at GiGi’s Playhouse Las Vegas. Adults with Down syndrome often experience significant health and participation disparities that negatively impact quality of life. These disparities include reduced physical activity, limited opportunities for social engagement, and barriers to engagement in meaningful occupations. Grounded in occupational therapy principles, this project introduced a structured intervention integrating dance, Pilates, and yoga to promote physical, emotional, and social well-being. A program development design …

Efficacy Of The Dorsal Application Of Kinesiotape For Carpal Tunnel Syndrome On Sleep, Alyanna San Pedro

UNLV Theses, Dissertations, Professional Papers, and Capstones

Carpal tunnel syndrome (CTS) is a common upper-extremity condition among university students who frequently engage in prolonged computer and device use. CTS symptoms, specifically in nocturnal pain, tingling, and numbness, often disrupt sleep quality, which can lead to negative effects on daytime functioning and participation in meaningful occupations. Despite growing interest in conservative management strategies, there is limited research on the potential role of kinesiotape (KT) in addressing sleep-related symptoms of CTS. This study aims to examine changes in sleep quality, nocturnal symptoms severity, and participation in meaningful activities in university students experiencing mild to moderate CTS symptoms. Participants were …

Examining The Effects Of Tailored Ergonomic Interventions On Reducing Musculoskeletal Disorders For Taxi Drivers, Amal Youssouf

UNLV Theses, Dissertations, Professional Papers, and Capstones

Taxi drivers are frequently exposed to prolonged sitting, whole-body vibration, limited rest opportunities, and psychosocial stressors, placing them at increased risk for musculoskeletal disorders (MSDs). This can be mitigated with the use of ergonomics, which changes one's environment to match an individual's needs within the context and demands of the job. Although ergonomics is a recognized area of occupational therapy (OT) practice, current research is limited to office-based or computer-related settings, leaving a gap in OT-led ergonomic interventions tailored for professional drivers. This capstone project aimed to determine whether OT-based ergonomic strategies, along with an ergonomic checklist as a guideline …

Effectiveness Of Cognitive Stimulation Therapy On The Quality Of Life Of Adults With Dementia: A Secondary Analysis, Evelyn Airam

UNLV Theses, Dissertations, Professional Papers, and Capstones

This secondary analysis study evaluated the effectiveness of Cognitive Stimulation Therapy (CST) on quality of life (QoL), depressive symptoms, and cognitive function in 108 community-dwelling older adults with cognitive impairments, including dementia. Outcomes involved Quality of Life (QoL) measured by the Quality of Life in Alzheimer’s Disease (QoL-AD), symptoms of depression by the Cornell Scale for Depression in Dementia (CSDD), and cognitive function using the Saint Louis University Mental Status (SLUMS). After the CST, significant improvements were observed in QoL (p = .004), depressive symptoms (p = .002), and cognitive function (p < .001), with small effect sizes. Additionally, a significant interaction between sex and dementia diagnosis status was found in predicting cognitive changes, suggesting that the relationship between dementia diagnosis and cognitive improvement differs by sex. No between-group differences were found for QoL or depression. Findings support CST as a multidimensional, non-pharmacological intervention that improves cognitive, psychological, and social outcomes. Although effects were small, consistent improvements are clinically meaningful given the progressive nature of dementia. This study extends existing literature by demonstrating CST’s effectiveness in a community-based setting and reinforces its alignment with occupational therapy’s emphasis on participation and holistic care. Results highlight the need for early intervention and expanded access to CST programs to enhance quality of life in this population.

Integrating Social-Emotional Learning To Foster Regulation And A Positive Classroom Climate, Klarika Meghan V. Alquisada

UNLV Theses, Dissertations, Professional Papers, and Capstones

Social-emotional learning (SEL) supports the development of emotional regulation, interpersonal skills, and meaningful participation in academic environments. Increasing regulatory demands within classrooms highlight the need for structured approaches that support both educators and students in maintaining engagement and fostering positive learning environments. Occupational therapy (OT) practitioners are uniquely positioned to collaborate with educators to integrate regulation-focused strategies within daily classroom routines.This quality improvement project aimed to develop and implement an OT-informed SEL program for educators serving students with diverse learning needs. Teachers received consultation and tailored SEL strategies, implemented them for 5 weeks, and provided feedback on their effects on …

Fostering Adolescents’ Social-Emotional Skills In A Community Setting, Elizabeth Benitez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Adolescents face growing emotional, behavioral, and social challenges, especially in community recreation settings with high energy, peer interaction, and sensory demands. These environments often expose difficulties in emotional regulation, communication, and conflict management, highlighting the need for structured social-emotional learning (SEL). This capstone project aimed to develop and implement an occupation-centered SEL program integrating the Zones of Regulation (ZOR), CASEL competencies, and Developmental, Individual Differences, Relationship-Based (DIR) Floortime principles within the Clark County Hollywood Parks and Recreation after-school program. Guided by the Person–Environment–Occupation (PEO) model, the project sought to help adolescents practice emotional awareness, self-management, and interpersonal skills in their …

Got Sleep?: The Introduction Of Sleep Hygiene To Justice Involved Individuals, Charisma Lynn Cato

UNLV Theses, Dissertations, Professional Papers, and Capstones

Individuals transitioning out of incarceration often experience challenges with sleep due to the residual effects of confinement. Although this is common among justice-involved individuals, there is limited research on how to address their sleep hygiene self-efficacy after release. Furthermore, despite the wide use of social-emotional learning (SEL) across multiple disciplines, little is known about its influence on sleep-related behavior change in re-entry populations. To address this, the Got Sleep program, designed and implemented at Hope for Prisoners (HOPE), a community site geared toward re-entry assistance, integrated occupational therapy (OT) principles and an SEL approach with practical sleep hygiene strategies to …

Enhancing Accessibility And Inclusivity In The Performing Arts With Occupational Therapy Frameworks, Carmela Clarice Tabora Clave

UNLV Theses, Dissertations, Professional Papers, and Capstones

In live theater performances, there are numerous sensory demands, including unpredictable noises, lighting, crowd movement, vocalization, and transitions in and out of the theater. Teachers, support staff, and chaperones who attend these performances may face barriers in supporting their children in unfamiliar environments, and community volunteers who have never assisted during these shows may not know how to support children who need it if they have not had prior exposure to children with diverse needs. This capstone project provides families, teachers, and volunteers with pre-visit resource guides with occupational therapy perspectives on sensory processing for student matinees and sensory-inclusive performances …